提高感染性创面诊治水平需要关注的几个问题  

Several issues that need attention to improve the diagnosis and treatment level of infectious wounds

作　　者：刘毅[1] Liu Yi(Department of Burns and Plastic Surgery&Wound Repair Surgery,Lanzhou University Second Hospital,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院烧伤整形与创面修复外科,兰州730030

出　　处：《中华烧伤与创面修复杂志》2024年第2期119-124,共6页Chinese Journal of Burns And Wounds

基　　金：国家自然科学基金地区科学基金项目(82360444);甘肃省高校产业支撑项目(2023CYZC-02);兰州大学第二医院萃英科技创新项目(CY2022-MS-A04)。

摘　　要：创面感染是宿主对病原微生物的炎症反应,它是一个复杂的病理过程,可表现为迅速发生的急性创面感染和迁延的慢性创面感染。感染性创面指发生了感染的急性或慢性创面,它的诊治涉及诸多环节,任何环节出现纰漏都会导致治疗失败。该文就如何提高感染性创面诊治水平,提出细菌生物膜与耐药菌、新材料与新型敷料、特殊类型感染性创面以及各种治疗技术的联合应用等几个需要关注的问题进行讨论,旨在引起广大同行的重视。与此同时,倡导充分关注相关领域的研究成果和不断涌现出的新技术、新理念、新材料、新方法,并将其应用到感染性创面的诊治中,造福广大患者。Wound infection is an inflammatory response of the host to pathogenic microorganisms.It is a complex pathological process that may manifest either as a rapid onset acute wound infection,or as a prolonged chronic wound infection.Infectious wounds refer to acute or chronic wounds where infection has occurred,and their diagnosis and treatment involve many links,any loopholes in any aspect can lead to treatment failure.How to improve the diagnosis and treatment level of infectious wounds?This article proposed and discussed several issues,such as biofilm and drug resistance of bacteria,new materials and new-type dressings,special types of infectious wounds,and the combined application of various treatment techniques that need attention,and intended to attract the attention of peers.At the same time,it advocated for full attention to research results in the relevant fields and continuously emerging new technologies,concepts,materials,and methods,and applying them to the diagnosis and treatment of infectious wounds to benefit the majority of patients.

关 键 词：外科伤口感染 生物膜 抗药性 细菌 感染性创面 创面修复 

分 类 号：R641[医药卫生—外科学]